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1025 23rd St S Birmingham AL 35205-2499 | |
| (205) 837-3533 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1025 23rd St S, Birmingham, Alabama |
| Authorized Official Name and Position | Kristine Lokken Edmondson (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 2058373533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
321 Delcris Ct Birmingham AL 35226-1978 Ph: (205) 837-3533 | 1025 23rd St S Birmingham AL 35205-2499 Ph: (205) 837-3533 |
| NPI Number | 1437390853 |
|---|---|
| Provider Enumeration Date | 03/14/2009 |
| Last Update Date | 03/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437390853 | NPI | - | NPPES |
| 1548290984 | Other | AL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 1206 (Alabama) | Primary |
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